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                                                                  Patient Questionnaire

We will provide one-time free traditional Chinese medicine (TCM) consultation for new patients. Please take time to fill out this
questionnaire carefully. You will get response within 24 hours. All your information will be confidential. You could also download
InTakeForm and fill it out before clinic visit. For Chinese version, please click here.  
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For followup consultation,  you have to pay $ 45 here.